Search › Idaho › 152W00000X
Brandon Hicks, O.D
NPI 1679887756 · on the registry since 2010 · sole proprietor
Practice
- Address
- 999 N Curtis Suite 205
Boise, ID 83706 - Phone
- (208) 373-1200
- Fax
- (208) 373-1216
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho